Provider Demographics
NPI:1568931657
Name:WAHBA, DEENA WADIE (CGC)
Entity Type:Individual
Prefix:
First Name:DEENA
Middle Name:WADIE
Last Name:WAHBA
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 W DR MARTIN LUTHER KING JR BLVD # MS 3105
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6307
Mailing Address - Country:US
Mailing Address - Phone:813-870-4238
Mailing Address - Fax:813-605-6126
Practice Address - Street 1:3001 W DR MARTIN LUTHER KING JR BLVD # MS 3105
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6307
Practice Address - Country:US
Practice Address - Phone:813-618-2092
Practice Address - Fax:813-870-4470
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS